0000912282-24-000791.txt : 20241112 0000912282-24-000791.hdr.sgml : 20241112 20241112191410 ACCESSION NUMBER: 0000912282-24-000791 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20241112 FILED AS OF DATE: 20241112 DATE AS OF CHANGE: 20241112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERTZ PHILLIP JOSEPH CENTRAL INDEX KEY: 0002028904 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42403 FILM NUMBER: 241450601 MAIL ADDRESS: STREET 1: 750 WEST PENDER STREET SUITE 1200 CITY: VANCOUVER STATE: A1 ZIP: V6C 2T8 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alpha Cognition Inc. CENTRAL INDEX KEY: 0001655923 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1200-750 W PENDER ST CITY: VANCOUVER STATE: A1 ZIP: V6C 2T8 BUSINESS PHONE: (858) 344-4375 MAIL ADDRESS: STREET 1: 20073 FIDDLERS GREEN CITY: FRISCO STATE: TX ZIP: 75036 FORMER COMPANY: FORMER CONFORMED NAME: Neurodyn Cognition Inc. DATE OF NAME CHANGE: 20151016 3 1 form3.xml X0206 3 2024-11-12 0 0001655923 Alpha Cognition Inc. ACOG 0002028904 MERTZ PHILLIP JOSEPH C/O ALPHA COGNITION INC. 1200 - 750 WEST PENDER STREET VANCOUVER A1 V6C 2T8 BRITISH COLUMBIA, CANADA true Common Shares 50233 D Common Shares 12560 I by Mertz Holdings Common Share Options 5.21 2023-01-18 2031-12-20 Common Shares 8000 D Common Share Options 5.21 2023-01-18 2032-05-31 Common Shares 4000 D Common Share Options 3.4 2023-06-08 2033-06-08 Common Shares 13200 D Class B Preferred Series A Shares 0 Common Shares 35328 D Class B Preferred Series A Shares 0 Common Shares 8832 I by Mertz Holdings The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. Options are fully vested. Converted from Canadian exercise price of C$7.00 at C$1.3439=USD$1.00. 12.5% vested on June 8, 2023, and the remaining 87.5% vests in equal monthly installments until January 30, 2026. Converted from Canadian exercise price of C$5.50 at C$1.3358=USD$1.00. The Class B Preferred Series A Shares are convertible at any time, at the holder's election, on a one-for-one basis, and will convert automatically upon certain events as described in the Issuer's Form S-1 registration statement. The Class B Preferred Series A Shares do not expire. /s/ Mertz Phillip Joseph 2024-11-12